Factors affecting the use of nursing information systems in Taiwan

Lee, Ting Ting; Lee, Tzu Ying; Lin, Kuan Chia; Chang, Pi Chen

doi:10.1111/j.1365-2648.2005.03376.x

Cited by 43 publications

(32 citation statements)

References 21 publications

(29 reference statements)

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“…21 Instead, the NPs were very positive about IT usage, and did not report feeling deskilled, or that their practice was becoming more monotonous as a result of increased computer-driven standardisation, as others have suggested. 24 Instead, the NPs were enthusiastic and comfortable about using electronic patient records.…”

Section: Information Resources Used By Npsmentioning

confidence: 91%

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Barriers to the use of e-health technology in nurse practitioner_patient consultations

Adams

Thorogood

et al. 2007

Journal of Innovation in Health Informatics

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Purpose This paper examines primary care nurse practitioners' (NPs') use of information available via e-health technology (EHT) within consultations. It explores which information resources NPs use in clinical decision making, their comparative use of electronic versus paper-based and human information resources, the reasons behind their choices and how the use of different resources impacts on patient interactions. Methods Semi-structured interviews were undertaken with 12 NPs recruited from 11 different general practitioner (GP) practices and five primary care trusts (PCTs) within the West Midlands South Strategic Health Authority, UK. Findings The key finding was that for NPs an effective information resource is one that provides sufficient information to generate a patient management plan rapidly. Speed, familiarity and trust are vital ingredients for regular use. Paper-based information resources therefore retain a significant role, and together with human information resources are still more frequently used than most electronic, and particularly web-based, resources. The latter are not yet well established within the context of patient consultations. Electronic clinical support systems (such as Mentor, PRODIGY and GPnotebook) are regularly used, however, because they are often linked electronically to patient records, and generate brief information in a form accessible to both nurses and patients. By contrast, searching for information from web-based resources was considered time-consuming, technically difficult and disruptive to patients. All NPs reported some negative effects on patients of using computers: mostly disrupted rapport and longer consultations. However, the majority had developed ways of working to overcome these difficulties and that helped them to maintain their patient-centred focus. Conclusions Study NPs had received only very limited information technology (IT) training, but nevertheless were enthusiastic about computer use. This suggests that with further training they could adapt their practice to embrace more EHT, which would enhance their ability to be more autonomous and to base their practice on sound clinical evidence.

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Section: Information Resources Used By Npsmentioning

confidence: 91%

“…Research suggests that age and education are key predictors, with younger age and higher education being positively associated with these activities. 20,21 Gender may also explain variation in EHT usage. 22 Additionally, a generalised computer anxiety has been identified amongst nurses.…”

Section: Nurses and Ehtmentioning

confidence: 99%

Barriers to the use of e-health technology in nurse practitioner_patient consultations

Adams

Thorogood

et al. 2007

Journal of Innovation in Health Informatics

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“…Also T. Lee, T. Lee and Lin (2005) shows that a computerized nursing care plan increase health living of population in Taiwan. The proposition P8, the interaction of software and internal spending lead to improvements in healthy living standards in mid income countries.…”

Section: General Theory Buildingmentioning

confidence: 99%

Investigating the Impact of ICT Investments on Human Development

Bankole

Shirazi

Brown

2011

E J Info Sys Dev Countries

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In the last two decades, the worldwide information and communication technology (ICT) market has been growing at a rapid rate. This has led to a global net increase in ICT investments and usage. International organizations, ICT vendors and policy makers have been investigating whether such large investments are worthwhile. The results regarding this issue are inconclusive, for this research area is fraught with complexity, and existing empirical work is limited. This study investigates the impact of ICT investments on human development. Of particular interest are the relationships between different dimensions of ICT investment and the components of human development. ICT investments can be thought of as having four dimensions – hardware, software, internal spending and telecommunication investment, while typical human development indicators are standard of living (GDP per capita), education (literacy and school enrolments) and health (life expectancy). If these variables are not modelled correctly, their effect on each other can be either under‐ or overestimated. In this article, the line of enquiry from a study by Kim et al. (2008) is extended to investigate the relationship between the four aspects of ICT investments and the three key components of human development. The empirical analysis shows that the four dimensions of ICT investment have an impact in various ways on the components of human development, and that these impacts are different, in high income, mid income and low income countries. Based on these findings, this study suggests theoretical propositions to explain the impact of ICT investments on human development.

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“…32 For the purpose of this study, only the term clinical decision support system was used in order to avoid confusion of names. The CDSSs studied were designed to support a wide range of decisions such as diagnosis and nursing care plan, 28 clinical practice guidelines 26,30 or protocols, 29 diagnosis and treatments, 3,11,[19][20][21][22][23][24][25]32 rehabilitation, 27 and reminder systems. 31 Twelve of the 16 studies were conducted in Western countries (the United States, the United Kingdom, the Netherlands, Spain, and Australia).…”

Section: Quality Appraisalmentioning

confidence: 99%

A Critical Review of the Theoretical Frameworks and the Conceptual Factors in the Adoption of Clinical Decision Support Systems

Khong

Holroyd

Wang

2015

CIN: Computers, Informatics, Nursing

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The clinical decision support system is utilized to translate knowledge into evidence-based practice in clinical settings. Many studies have been conducted to understand users' adoption of the clinical decision support system. A critical review was conducted to understand the theoretical or conceptual frameworks used to inform the studies on the adoption of the clinical decision support system. The review identified 15 theoretical and conceptual frameworks using multiple hybrids of theories and concepts. The Technology Acceptance Model was the most frequently used baseline framework combined with frameworks such as the diffusion of innovation, social theory, longitudinal theory, and so on. The results from these articles yielded multiple concepts influencing the adoption of the clinical decision support system. These concepts can be recategorized into nine major concepts, namely, the information system, person (user or patient), social, organization, perceived benefits, emotions, trustability, relevance (fitness), and professionalism. None of the studies found all the nine concepts. That said, most of them have identified the information system, organization, and person concepts as three of its concepts affecting the use of the clinical decision support system. Within each of the concepts, its subconcepts were noted to be very varied. Yet each of these subconcepts has significantly contributed toward the different facets of the concepts. A pluralistic framework was built using the concepts and subconcepts to provide an overall framework construct for future study on the adoption of the clinical decision support system.

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Factors affecting the use of nursing information systems in Taiwan

Abstract: The results can be used for further organization of education programmes and as a reference for training strategies. Further examination and analysis of item content are suggested.

Cited by 43 publications

References 21 publications

Barriers to the use of e-health technology in nurse practitioner_patient consultations

Barriers to the use of e-health technology in nurse practitioner_patient consultations

Investigating the Impact of ICT Investments on Human Development

A Critical Review of the Theoretical Frameworks and the Conceptual Factors in the Adoption of Clinical Decision Support Systems

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